196 Results for

Medical Reimbursement Specialist Jobs in Philadelphia, PA

Jobs

Wilmington, DE

$65.25–$104.41 / hour

Provide advanced direct patient care through comprehensive medication management services for patients with complex and high‑risk conditions, utilizing the JCPP Pharmacists’ Patient Care Process, including assessment, advanced pharmacotherapy decision‑making, and longitudinal outcome monitoring. The Clinical Pharmacy Specialist will be embedded within the Center for Weight Management and function as an integral member of the interdisciplinary care team, providing comprehensive medication management for patients receiving pharmacologic therapy for obesity and related cardiometabolic conditions.

7 days ago

Trenton, NJ

$23–$25 / hour

Our client is a long-standing and well-respected non-profit healthcare organization looking for an experienced Medical Billing Specialist to join and assist their ever-growing team! By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.

1 day ago

Sellersville, PA

Full time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

20 days ago

Philadelphia, PA

With programs that include outpatient treatment, residential services, community-based recovery centers, supportive housing, and specialized services for children, families, and diverse populations, COMHAR delivers person-centered care rooted in dignity, respect, and community integration. COMHAR is a nonprofit human-services organization dedicated to empowering individuals, families, and communities to live healthier, self-determined lives.

Today

Philadelphia, PA

This position assists the Shared Service record-to-report team with the monthly SAP close process and consolidated financial reporting for the purpose of maintaining an effective accounting system to optimize spending and improve overall profitability. Additionally, the candidate will possess: Bachelor's degree in accounting, finance, business management is required; Advanced degrees or certifications (MBA, CPA, CMA) are welcome and can accelerate growth, but are not required.

Today

KENNETT SQUARE, PA

$122,400–$168,300

Develops and/or leads teams in studies, plans, criteria, specifications, calculations, evaluations, design documents, performance assessments, integrated systems analysis, cost estimates, budgets, associated with the planning, design, licensing, construction, operation, and maintenance of Exelon's electric generation, transmission, distribution, gas and telecommunication facilities/systems. We are a Fortune 200 company, 20,000 colleagues strong serving more than 10.7 million customers at six energy companies -- Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).

5 days ago

Newark, DE

Remote

$120,000–$200,000 / year

Benefits and PerksAt City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including:Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date. In addition, the role serves as a liaison between compliance and business teams to identify process improvements, drive consistency in execution, and support business initiatives within a controlled and compliant environment.

7 days ago

Wilmington, DE

$65.25–$104.41 / hour

Provide advanced direct patient care through comprehensive medication management services for patients with complex and high risk conditions, utilizing the JCPP Pharmacists' Patient Care Process, including assessment, advanced pharmacotherapy decision making, and longitudinal outcome monitoring. The Clinical Pharmacy Specialist will be embedded within the Center for Weight Management and function as an integral member of the interdisciplinary care team, providing comprehensive medication management for patients receiving pharmacologic therapy for obesity and related cardiometabolic conditions.

1 day ago

Conshohocken, Pennsylvania

This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party. Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.

30+ days ago

Philadelphia, PA

3+ years Experience of third-party governmental reimbursement (including: compliance analysis, revenue budgeting and cost reporting activities from PIP establishment to final settlement) is required. ◦ Assist department leadership and GME office with Resident billing analysis, including the VAMC and CHOP ◦ Assist residency coordinator with resident financial issues when needed.

28 days ago

Philadelphia, PA

$40,000–$45,000 / year

We provide culturally sensitive health-related information, direct services, education, research, and technical assistance to reduce and eliminate HIV/AIDS as well as other health disparities, such as women's health and hunger, within the urban community of Philadelphia and vicinity. The Medical Billing Specialist is responsible for accurately processing and submitting medical billing for client services and clinical services, ensuring timely reimbursement and compliance with payer and regulatory requirements.

10 days ago

Philadelphia, PA

TAG MedStaffing is hiring a Medical Collections Specialist in Philadelphia, PA for our client, supporting insurance collections, claims follow-up, and revenue cycle operations within a physician practice environment. Skills & Attributes: Strong attention to detail, communication skills, and ability to multitask in a fast-paced environment are required.

30+ days ago

Conshohocken, Pennsylvania

Responsibilities: Role Summary: Responds to medical record requests from insurance carriers at varying stages of claim processing as an integral part of recognizing the maximum reimbursement from each claim. Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro).

6 days ago

Medford, NJ

We are seeking a medical billing specialist to manage, oversee, and assist the doctor and one secretary with patient billing, collections, verifying insurance eligibility and claims for our practice. About Us: At Medford Longevity Center, we provide exceptional pain management relief through our unique technique dry point needling.

30+ days ago

Philadelphia, PA

Conducts all billing activities for managed care, commercial insurance Medicare and Medicaid, including verifying insurance, processing patient claims for services rendered, processing data batches, transmitting/submitting documents to insurance companies, etc. Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts receivable and system files and initiates appropriate corrective methods; works to increase error resolution/denial management.

5 days ago

Trevose, Pennsylvania

Alliance Cancer Specialists is seeking an experienced Medical Billing Specialist for our to join our Trevose Admin office responsible for the accurate and timely submission of medical claims, verification of charges and patient demographic information, and follow‑up with patients and third‑party payors. Prepare and submit insurance claims accurately and timely using required forms (e.g., HCFA 1500, Medicare, Medical Assistance, Blue Cross/Blue Shield, UMWA, and other third‑party payors).

30+ days ago

Trenton, NJ

Full time

Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.

3 days ago

Philadelphia, Pennsylvania

SUMMARY OF JOB: The Account Receivable Specialist is responsible for performing resolution-oriented claims submission and follow-up to achieve cash recovery and A/R resolution goals of assigned health system receivables, through established methods and procedures using current available technology. The Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need.

30+ days ago

Camden, NJ

The HCA Patient Access Specialist communicates as appropriate with the physicians, NJ Medical Examiners, the Sharing Network, and Funeral Directors to ensure timely handling of deceased patients. The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing.

30+ days ago

Philadelphia, Pennsylvania

Responsible for performing resolution oriented patient collections to achieve cash recovery and A/R resolution goals of assigned receivables through established methods and procedures, using current available technology. The Business Office Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need.

20 days ago

New Castle, DE

Post all payments, by line-item, received for physician's professional services into the practice management system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. ESSENTIAL DUTIES & RESPONSIBILITIES: Input all charges related to the assigned physician's professional services into the practice management system including office and hospital charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction.

30+ days ago

Camden, NJ

Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for: Accounts Receivable tasks related to Cooper University Professional provider revenue cycle and collections. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.

21 days ago

doylestown, PA

Experience in one or more phases of the Revenue Cycle (e.g., AR follow-up, insurance verification, charge entry, payment posting). Minimum of 2 years of experience in medical billing and accounts receivable follow-up.

30+ days ago

Philadelphia, PA

$110,700–$218,300 / year

Other skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.

7 days ago

Aston, Pennsylvania

Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

20 days ago

Aston, Pennsylvania

3 days ago

Philadelphia, PA

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.

28 days ago

Philadelphia, PA

Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: Missing Operative Notes, Missing Pathology Report, Physician Query Needed, Death Review, Discharge Disposition, Missing Other Reports (Card Cath, EPS, etc). Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

28 days ago

Aston, PA

12 days ago

Aston, PA

3 days ago

Tredyffrin, PA

Remote

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites the reprocessing of claims and maximizes opportunities to enhance front end claim edits to facilitate first pass resolution.

30+ days ago

Philadelphia, PA

$60,000–$130,000 / year

About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators.

30+ days ago

Philadelphia, PA

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.

30+ days ago

Wilmington, DE

Keen Compressed Gas Co. is a family‑owned business founded in 1919 and now recognized as a leading supplier of industrial, medical, and specialty gases, as well as welding and safety equipment throughout the Mid‑Atlantic region. The Specialist serves as a key resource for internal departments and external vendors, providing professional communication, issue resolution, and consistent administrative support.

28 days ago

Camden, NJ

The Collections Specialist will be required to maintain all PHI/PII in accordance with Federal, State and CUHC polices and procedures Experience Required 2 - 3 years Accounts Receivable resolution preferred with a strong focus on customer experience Familiarity with third-party billing processes including CPT/HCPCS and ICD-10 knowledge is desired. Short Description Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper Universtiy Professional provider revenue cycle and collections.

30+ days ago

Camden, NJ

License/Certification Requirements NAHAM Certified Healthcare Access Associate (CHAA) certification or HFMA Certified Revenue Cycle certification (Preferred) Special Requirements Excellent verbal and written communications skills Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration, and billing systems. Short Description The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing.

30+ days ago

Philadelphia, PA

$60,000–$80,000 / year

Our products impact public utilities, industrial sectors, residential areas, and commercial buildings, with a commitment to providing smart metering, network technologies, and advanced analytics for water, electric, and gas utilities. Effective interpersonal communication skills required (oral and written) with ability to relate with multiple internal (i.e., Purchasing, Finance, Product Development, etc.) and external (i.e., brokers, US and/or Canadian government agencies, etc.) stakeholders.

30+ days ago

Conshohocken, PA

Understanding of: (1) contract provisions and legal doctrines; (2) claims management; ability to create portfolios of and place insurance coverage; knowledgeable of global insurance markets, pricing, risk aversion, and regulation; and able to negotiate, write, and renew insurance contracts. Candidate must have significant California workers' compensation claim management experience and the ability to learn and manage workers' compensation claims in other states in accordance with company policies and procedures.

12 days ago

collegeville, PA

HFX iQ, Nevro's latest innovation, is the first and only SCS System that uses Artificial Intelligence to optimize and maintain pain relief using each patient's response1.Nevro's unique support services provide every patient with an HFX Coach throughout their pain relief journey and every physician with HFX Cloud insights for enhanced patient and practice management. Position Summary: Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline support.

30+ days ago

Philadelphia, PA

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30+ days ago

Camden, New Jersey

We know Michaels’ promise of lifting lives starts with our teammates, so making sure every single teammate is happy, healthy, and set up for a successful future is important to us. At Michaels, our teammates strive to fulfill our promise of creating communities that lift lives – ones that jumpstart housing, education, civic engagement, and neighborhood prosperity.

6 days ago

philadelphia, PA

SUMMARY JOB DESCRIPTION: The Clinical Informatics Specialist's primary roles are to provide project management, software support and training for the PHMC Health Network's clinical systems, electronic medical record (EMR), and other applications. Special and seasonal projects are typical for this role in partnership with the Director of Business Analytics, department co-workers, clinical staff, PHMC IT staff and outside contractors.

30+ days ago

Philadelphia, Pennsylvania

$125,000–$135,000 / year

Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

30+ days ago

Fairless Hills, Pennsylvania

Partnering with collections management and staff to support collection efforts while also gaining an understanding of the underlying processes that may be creating collection challenges. Creates credit memos / settles disputes by working with sales, QC and billing clerks to gather information and draft memorandums in a timely manner.

4 days ago

Pilesgrove, New Jersey

$22–$24 / hour

Under the direct supervision of and in coordination with a Behavior Analyst and/or Behavior Specialist and/or Clinical Director, the ABA Specialist performs the following duties: Provide intensive behavioral treatment services to individuals in accordance with the behavior support plan including but not limited to Functional Behavior Assessment (FBA) and antecedent and consequence-based strategies to ensure effective, function-based, treatment. Collect behavioral data related to treatment strategies being implemented for individuals including but not limited to assessment/observation data, and daily behavior data for the purpose of providing clinical/behavioral services to Elwyn New Jersey residents.

30+ days ago

Philadelphia, PA

Remote

$200,000–$260,000 / year

Working on the roadway team at GFT offers the opportunity to engage in transformative projects that enhance transportation infrastructure, improves community connectivity, and provides the toll-paying customer confidence that tolls are accurately assessed and they are provided modern conveniences for toll payment. What you'll be challenged to do: As a Senior Project Manager / Tolling Specialist, you will deliver advisory services in toll programs and toll operations as well as providing operational and implementation oversight in commercial back office/customer service center systems and operations to tolling clients.

30+ days ago

Media, PA

Our transportation team plays an essential role in ensuring that caregivers arrive safely to serve our clients and that our clients maintain access to the care and services they need. This role is responsible for safely transporting caregivers to and from their assigned work shifts as well as transporting clients to medical appointments, therapy visits, and essential errands when needed.

30+ days ago

Collegeville, PA

HFX iQ, Nevro’s latest innovation, is the first and only SCS System that uses Artificial Intelligence to optimize and maintain pain relief using each patient's response1.Nevro’s unique support services provide every patient with an HFX Coach™ throughout their pain relief journey and every physician with HFX Cloud™ insights for enhanced patient and practice management. The company started with a simple mission to help more patients suffering from debilitating pain and developed its proprietary 10 kHz Therapy, an evidence-based, non-pharmacologic innovation that has impacted the lives of more than 100,000 patients globally.

30+ days ago

West Chester, PA

$19.50–$21.95 / hour

Supervises, instructs, supports and provides guidance to assigned persons served in accordance with the individual's Behavior Support Plan within the structured specialized behavioral program as well as the team-driven general support plan, and works daily toward the designated outcomes, including but not limited to: Ensuring food security by implementing the program structure and schedule at all times in the PWS home and/or implementing any other needed structures in the specialized behavioral program. Completes paperwork and maintains all documentation as required and as determined by program management for the program site; e.g., shift progress notes, daily logs, monthly progress reports, daily goal reports, assessments, daily financial transactions, Medical Administration Records, behavioral data sheets, Incident Reports, Parent/Guardian/Other contact form, etc.

30+ days ago

Media, Pennsylvania

Ensure that all services/supports provided relative to ISP outcomes are reviewed at least every 3 months with the individual, that the ISP includes community involvement with peers without disabilities, that, if the consumer stays home during the day, there is documentation that; that the consumer’s physician has documented medical necessity for the consumer to stay home during the day OR the team has determined it is to the best interest of the individual to stay home and for the agency to provide day programming at the home. The Program Specialist completes required documentation, assesses individual needs, coordinates and secures services, provides training to staff and individuals, attends and leads meetings, communicates effectively with all team members, and ensures continuous development and monitoring of programming and services to people on their caseload.

30+ days ago

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Medical Reimbursement Specialist Jobs in Philadelphia, PA

Clinical Pharmacist Specialist | Center for Weight Management | Hybrid Position ChristianaCare

Medical Billing Specialist Atrium

Accounts Receivable Specialist I St. Luke's Health Network, Inc.

Credentialing Specialist Comhar Inc.

Specialist, Finance Liberty Coke

Principal Engineer – Transmission Scenario Planning - External Analysis Specialist Exelon

Lead Fiduciary Compliance Specialist City National Bank

Clinical Pharmacist Specialist Center for Weight Management Hybrid Position ChristianaCare

Reimbursement Specialist MPOWERHealth

Reimbursement Specialist Penn Medicine

Medical Billing Specialist - Bebashi -Transition-to-Hope, Phila., PA Midatlantic Employers' Association

Medical Collections Specialist TAG MedStaffing

Medical Records Specialist MPOWERHealth

medical billing specialist Skinja Medspa Corporation

Billing Specialist Philadelphia Fight

Billing Specialist Alliance Cancer Specialists

Billing and Collections Specialist Henry J Austin Health Center

HRPAS A/R Specialist / Accounts Receivable Specialist Redeemer Health

Healthcare Access Specialist Cooper University Hospital

Sr Accts Receivable Specialist Redeemer Health

Prior Authorization Imaging Specialist Brandywine Urology Consultants

Collections Specialist II Cooper University Hospital

Medical Biller (ID #464896) Partners Personnel Management Services LLC

Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu Ltd

Patient Access Specialist ChristianaCare Hospitals in Aston and West Grove

Hospital Registration Specialist ChristianaCare Hospitals in Aston and West Grove

HIM Inpatient Coding Specialist III Penn Medicine

HIM Inpatient Coding Specialist I Penn Medicine

Patient Access Specialist Emerus

Hospital Registration Specialist Emerus

Accounts Receivable Specialist - REMOTE University Health Services Inc

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations Stout Risius Ross LLC

HIM Coding Specialist Penn Medicine

Accounts Payable Specialist KEEN COMPRESSED GAS CO.

Collections Specialist II Cooper University Health Care

Healthcare Access Specialist Cooper University Health Care

Trade Compliance Specialist Xylem Inc

Insurance Specialist GTT, LLC

Patient Access Specialist Globus Medical Inc

Certified Orientation & Mobility Specialist (COMS) The Stepping Stones Group LLC

Billing Specialist The Michaels Organization

Clinical Informatics Specialist Public Health Management Corp

RN Executive Director Specialist Gentiva Hospice

Collections Specialist Silvi Concrete Products, Inc.

Lead Registered Behavior Tech (RBT)- Applied Behavior Analysis Specialist Elwyn

Senior Project Manager / Tolling Specialist Gannett Fleming Inc

Driver- Care Transportation Specialist Wrapped N Love Home Care LLC

Appeals Specialist Globus Medical, Inc.

Applied Behavior Specialist Elwyn

Program Specialist Elwyn

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